Doctor insights on:
Spiral Femur Fractures In Children
Please point me to where I can find records/statistics of children falling and suffering spiral fracture femur not abuse related?
U can Google it.. .: ....The younger the more one suspects abuse. That is why if an infant comes 2 the ER with a spiral femoral fracture they will obtain multiple images looking 4 other fractures. If they R present the law requires it B reported 2 social services who come 2 the ER & access the child as well as the family members. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
A spiral fracture is a fracture wherein the bone is twisted apart like a cork screw. It is usually associated with physical or sexual abuse
the femur is one of the strongest bones in the body. Considerable force needs to be taken to break your femur bone. The most common cause of femur fracture is car accidents or falls from heights. ...Read more
Depends: On what you mean by trauma. Kids can walk and turn a certain way wrongly and sustain spiral femur fractures. As for adults, I believe this is much less common (without any sort of prior weakness to the bone itself) and would more likely require a traumatic force. ...Read more
Abuse or defect: My top thought would be the twisting action of a grumpy parent trying to change a diaper in a crying infant. There are some rare metabolic disorders that would make the bones weak, and accidental injury more possible. However, I would place abuse, even by accident, at the top of my list, and pursue a full family evaluation. Many larger hospitals have a team that works thru this issue. ...Read more
No: This would be caused by abuse.Get a more detailed answer ›
Femur Fracture: 4-6 weeks, then another 4 weeks of return to specific activities such as sports. ...Read more
I've needed to use crutches for the past 4+ months bc of a fractured femur. My shoulder is now so painful I can barely type this. What happened?
I am sorry you have not seen your doctor earlier.
You must see your doctor as soon as possible.
Please let me know how things are going. ...Read more
Fracture: Most bones with good blood supply that are capable of healing will mend within 6-8 weeks. Not all fractures heal easily though, which is influenced by location, displacement, age, health/nutritional status, smoking, etc. ...Read more
8-12 weeks: Varies somewhat based upon more specific nature of fracture, but usually 8-12 weeks. ...Read more
Femur fracture: Most femur fractures in adults are managed withsurgical repair. Most often, for fractures in the shaft of the bone, an im rod is inserted. For fractures above or extending into the knee, special plates and screws are used. ...Read more
2 answers: In patients who are truly at high risk for a hip fracture, Fosamax (alendronate) will decrease the risk of a fracture by 50%. However, in about 1 person in 1000-5000 there will be an increased risk because the medication is too strong. The current recommendation by many experts is to not use this type of medication for prevention unless you are high risk for a fracture. ...Read more
Many possibilities: Nonunion. Malunion. Chronic pain. Infection. Nerve & muscle damage. Abnormal gait. Inability to walk/run. Therefore, make sure you go see doc for evaluation & treatment. You may need referral to orthopedic surgeon. Depending upon how/where your femur was fractured & what level of care is available to you, operative care may be necessary. ...Read more
It's already broken.: The chances of it becoming a displaced fracture becomes more possible if you do not follow your orthopedic surgeons plan of care. They R due 2 the bone being stressed beyond its ability to handle what you were doing 2 cause it. ...Read more
What kind of things should I keep in mind when taking care of an 88 year old female with a fractured femur?
Stable fixation with a quality reduction of the fracture that enables the patient to resume activity, including weight-bearing are all important. Getting patients fixed, to minimize lung problems, bedsores, & blood clots are all important.
Making sure that the patient is treated promptly, but not before being optimized for surgery is also important.
The elderly often have little reserve. ...Read more
I have fractured my femur bone. It's been more than a year yet I'm still limping. How to rid off the limpness.
How long before I can walk on a fractured femur I have full mobility of the leg with no pain its been four weeks since a rod was put in?
Fracture healing: It depends! Was your fracture a simple or complex type and how was it fixed? Simple fractures fixed with a rod construct can bear weight immediately and it helps them to heal. We encourage weight bearing in these cases. Complex fractures fixed with plates and screws may need much longer before walking. There is also the question of whether you have osteoporosis or feel pain when walking. ...Read more
Symptoms and Imaging:
Stress fractures usually cause pain, but may also cause swelling and discoloration.
The nature of stress fractures can make them very hard to identify on x-rays, but some may be apparent based on their size or phase in healing. Larger stress fractures or those that have had some to start healing are often the ones that can be seen with x-ray.
The most specific test for a stress fracture is a mri. ...Read more
Pain, can't walk: Femoral neck fractures are extremely debilitating. Elders get these fractures commonly and may have the affected leg shorter than the other and/or rotated. The patient will not bear weight on this side. Sometimes these fractures are less obvious, requiring advanced imaging studies (like mri) to detect. In this case, if you give a tap on the heel, sometimes the patient will feel it up in the hip. ...Read more
Skin care: Leg casts for femur fractures can develop pressure sores at the proximal and distal areas of the cast. Also if in a very young child, soiling of the padding can lead to eventual skin breakdown. Meticulous inspection of the cast margins a couple times of day to make sure there are not visible pressure points, redness or abrasions would be helpful. Cast modification/change may be needed. ...Read more
As an idea that has worked for athletes that I work with is to use a stationary bike. U will need to have one with toe clips or baskets. You will use just the leg that you're trying to strengthen. The other leg will just hang. Using a hip flexor and extensor muscles you will just
Pedal with the rehabilitating leg. Start with 10' and work up gradually. As u begin to feel equally balanced, use both ...Read more
What is the implication of the rod and screw in fractured femur bowing on X-ray 8 weeks post op in 58 year old male?
Could be a problem: If the surgeon felt this was new bowing that could be due to too much stress on the rod. That would be very unusual with modern rods as they are very strong...Especially to see as early as 8 weeks. If it is just on an x-ray report you need to talk to your orthopedist as it us likely nothing. Most rods are normally bowed and may bow slightly more after being inserted. ...Read more
How risky when a rod pinned to femur removed again due to infections or bone death at the union of fractured bones, any alternatives?
Complicated: Sounds like a complicated problem which would require a more complete history and review of X-rays. If you have a delayed or possibly infected non union of a fracture, the treatment centers around eradicating the infection and also getting the bone to heal. If to have a pun tract infection from an external fixatir and a delayed union, this is sometimes treated with an intramedullary rod. ...Read more